| Doctor Name: | DR. AMINA HASSANALI |
| NPI Number: | 1124013495 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 045494 |
| Business Practice Address: | 1829 Lawrenceville Hwy Decatur, GA - 300335728 |
| Business Phone Number: | 4042928335 |
| Business Fax Number: | 4043433737 |
| Mailing Address: | 1412 Parkvierw Glen Ln, STONE MOUNTAIN |
| State: | GA |
| Postal Code: | 30087 |
| Phone Number: | 7707171828 |
| Fax Number: | 7707178284 |
| NPI Enumeration Date: | 09/13/2005 |
| NPI Last Update Date: | 10/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 045494 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |